Kerosene Poisoning in Children: A Review

Divecha, Chhaya

doi:10.21088/ijtep.2348.9987.12120.4

Cited by 1 publication

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“…Common substances include medications, either prescription or over the counter, pesticides, recreational drugs, or household cleaning products. In LMICs, accidental hydrocarbon (such as paraffin/ kerosene for lighting and fuel) ingestion is a common reason for seeking emergency care (5). Pesticide ingestion or exposure occurs more frequently in countries where agriculture is a source of income.…”

Section: Introductionmentioning

confidence: 99%

The burden of poisoning in children hospitalised at a tertiary-level hospital in South Africa

Khan,

Solomon,

Izu

et al. 2023

Front. Public Health

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IntroductionGlobally, childhood poisoning, accounts for a significant proportion of emergency department admissions. There is a paucity of data from low- and middle-income countries on poisoning in children.ObjectiveTo describe the incidence, case fatality rate, and types of poisoning in children admitted to a tertiary-level hospital in Johannesburg, South Africa.MethodsThis was a retrospective descriptive study of children hospitalised with poisoning from January 2016 to December 2021 at Chris Hani Baragwanath Academic Hospital. Children were identified from a discharge summary database using ICD-10 codes that describe poisoning. Trends in incidence of poison exposure were reported.ResultsOf the 60,901 admissions during the study period, 2,652 (4.4%) children were diagnosed with poisoning. Most (71.3%) children were less than 5 years of age and 55% were male. The incidence of poisoning per 100,000 was highest at 108.4 (95% CI: 104.3–112.6) in 2019 and decreased to 77.3 (95% CI: 73.9–80.7) in 2020 and 59.6 (95% CI: 56.3–62.5) in 2021. Main causes of poisoning were organic solvents (37.6%), medications (32.9%), and pesticides (17.5%). The overall case fatality rate was 2.1%. In a multivariate analysis, poisoning secondary to pesticides (aOR: 13.9; 95% CI: 4.52–60.8; p < 0.001), and unspecified agents (aOR: 12.7; 95% CI: 3.27–62.8; p < 0.001) were associated with an increased odds of death.ConclusionWe report a high prevalence of poisoning in children hospitalised in this tertiary-level hospital in South Africa. Public health measures to reduce the burden of organic solvents, medications and pesticide poisoning are urgently warranted.

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Section: Introductionmentioning

confidence: 99%